The Experts below are selected from a list of 32121 Experts worldwide ranked by ideXlab platform
Mounir Obeid - One of the best experts on this subject based on the ideXlab platform.
-
vocal cord paralysis after Open Heart Surgery
European Journal of Cardio-Thoracic Surgery, 2002Co-Authors: Abdel Latif Hamdan, Roger V Moukarbel, Firas Farhat, Mounir ObeidAbstract:Summary Vocal cord paralysis is a known entity often described as a complication of neck Surgery. A less frequent site of injury to the recurrent laryngeal nerve is the chest. The left side is usually more affected than the right side in view of its long intrathoracic segment. Only few cases of right vocal cord paralysis following Open-Heart Surgery are reported in the literature. The purpose of this article is to review the common possible mechanisms of injury to the right recurrent laryngeal nerve following Open-Heart Surgery in order to draw the attention of the caring physician to the clinical significance of such a complication. In fact, transient hoarseness following Open-Heart Surgery may be an ominous sign of recurrent laryngeal nerve injury. It should not be assumed to be secondary to intralaryngeal edema. Several mechanisms of injury to the recurrent laryngeal nerve have been suggested: (1) through central venous catheterization; (2) by traction on the esophagus; (3) by direct vocal cord damage or palsy from a traumatic endotracheal intubation; (4) trauma by compression of the recurrent laryngeal nerve or its anterior branch at the tracheoesophageal groove by an inappropriately sized endotracheal tube cuff; (5) by a faulty insertion of a nasogastric tube; (6) median sternotomy and/or sternal traction pulling laterally on both subclavian arteries; (7) direct manipulation and retraction of the Heart during Open-Heart procedures; (8) hypothermic injury with ice/slush. If vocal cord paralysis was overlooked as a possible complication of Open-Heart Surgery, the patient may suffer from dysphonia in addition to problems of paramount importance such as inefficient cough and aspiration. Although it is true that the incidence of vocal cord paralysis remains very low, yet its presence is alarming and necessitates close follow up on the patient for the possible need of surgical intervention if recovery fails. q 2002 Elsevier Science B.V. All rights reserved.
-
vocal cord paralysis after Open Heart Surgery
European Journal of Cardio-Thoracic Surgery, 2002Co-Authors: Abdel Latif Hamdan, Roger V Moukarbel, Firas Farhat, Mounir ObeidAbstract:Vocal cord paralysis is a known entity often described as a complication of neck Surgery. A less frequent site of injury to the recurrent laryngeal nerve is the chest. The left side is usually more affected than the right side in view of its long intrathoracic segment. Only few cases of right vocal cord paralysis following Open-Heart Surgery are reported in the literature. The purpose of this article is to review the common possible mechanisms of injury to the right recurrent laryngeal nerve following Open-Heart Surgery in order to draw the attention of the caring physician to the clinical significance of such a complication. In fact, transient hoarseness following Open-Heart Surgery may be an ominous sign of recurrent laryngeal nerve injury. It should not be assumed to be secondary to intralaryngeal edema. Several mechanisms of injury to the recurrent laryngeal nerve have been suggested: (1) through central venous catheterization; (2) by traction on the esophagus; (3) by direct vocal cord damage or palsy from a traumatic endotracheal intubation; (4) trauma by compression of the recurrent laryngeal nerve or its anterior branch at the tracheoesophageal groove by an inappropriately sized endotracheal tube cuff; (5) by a faulty insertion of a nasogastric tube; (6) median sternotomy and/or sternal traction pulling laterally on both subclavian arteries; (7) direct manipulation and retraction of the Heart during Open-Heart procedures; (8) hypothermic injury with ice/slush. If vocal cord paralysis was overlooked as a possible complication of Open-Heart Surgery, the patient may suffer from dysphonia in addition to problems of paramount importance such as inefficient cough and aspiration. Although it is true that the incidence of vocal cord paralysis remains very low, yet its presence is alarming and necessitates close follow up on the patient for the possible need of surgical intervention if recovery fails.
Abdel Latif Hamdan - One of the best experts on this subject based on the ideXlab platform.
-
vocal cord paralysis after Open Heart Surgery
European Journal of Cardio-Thoracic Surgery, 2002Co-Authors: Abdel Latif Hamdan, Roger V Moukarbel, Firas Farhat, Mounir ObeidAbstract:Summary Vocal cord paralysis is a known entity often described as a complication of neck Surgery. A less frequent site of injury to the recurrent laryngeal nerve is the chest. The left side is usually more affected than the right side in view of its long intrathoracic segment. Only few cases of right vocal cord paralysis following Open-Heart Surgery are reported in the literature. The purpose of this article is to review the common possible mechanisms of injury to the right recurrent laryngeal nerve following Open-Heart Surgery in order to draw the attention of the caring physician to the clinical significance of such a complication. In fact, transient hoarseness following Open-Heart Surgery may be an ominous sign of recurrent laryngeal nerve injury. It should not be assumed to be secondary to intralaryngeal edema. Several mechanisms of injury to the recurrent laryngeal nerve have been suggested: (1) through central venous catheterization; (2) by traction on the esophagus; (3) by direct vocal cord damage or palsy from a traumatic endotracheal intubation; (4) trauma by compression of the recurrent laryngeal nerve or its anterior branch at the tracheoesophageal groove by an inappropriately sized endotracheal tube cuff; (5) by a faulty insertion of a nasogastric tube; (6) median sternotomy and/or sternal traction pulling laterally on both subclavian arteries; (7) direct manipulation and retraction of the Heart during Open-Heart procedures; (8) hypothermic injury with ice/slush. If vocal cord paralysis was overlooked as a possible complication of Open-Heart Surgery, the patient may suffer from dysphonia in addition to problems of paramount importance such as inefficient cough and aspiration. Although it is true that the incidence of vocal cord paralysis remains very low, yet its presence is alarming and necessitates close follow up on the patient for the possible need of surgical intervention if recovery fails. q 2002 Elsevier Science B.V. All rights reserved.
-
vocal cord paralysis after Open Heart Surgery
European Journal of Cardio-Thoracic Surgery, 2002Co-Authors: Abdel Latif Hamdan, Roger V Moukarbel, Firas Farhat, Mounir ObeidAbstract:Vocal cord paralysis is a known entity often described as a complication of neck Surgery. A less frequent site of injury to the recurrent laryngeal nerve is the chest. The left side is usually more affected than the right side in view of its long intrathoracic segment. Only few cases of right vocal cord paralysis following Open-Heart Surgery are reported in the literature. The purpose of this article is to review the common possible mechanisms of injury to the right recurrent laryngeal nerve following Open-Heart Surgery in order to draw the attention of the caring physician to the clinical significance of such a complication. In fact, transient hoarseness following Open-Heart Surgery may be an ominous sign of recurrent laryngeal nerve injury. It should not be assumed to be secondary to intralaryngeal edema. Several mechanisms of injury to the recurrent laryngeal nerve have been suggested: (1) through central venous catheterization; (2) by traction on the esophagus; (3) by direct vocal cord damage or palsy from a traumatic endotracheal intubation; (4) trauma by compression of the recurrent laryngeal nerve or its anterior branch at the tracheoesophageal groove by an inappropriately sized endotracheal tube cuff; (5) by a faulty insertion of a nasogastric tube; (6) median sternotomy and/or sternal traction pulling laterally on both subclavian arteries; (7) direct manipulation and retraction of the Heart during Open-Heart procedures; (8) hypothermic injury with ice/slush. If vocal cord paralysis was overlooked as a possible complication of Open-Heart Surgery, the patient may suffer from dysphonia in addition to problems of paramount importance such as inefficient cough and aspiration. Although it is true that the incidence of vocal cord paralysis remains very low, yet its presence is alarming and necessitates close follow up on the patient for the possible need of surgical intervention if recovery fails.
Firas Farhat - One of the best experts on this subject based on the ideXlab platform.
-
vocal cord paralysis after Open Heart Surgery
European Journal of Cardio-Thoracic Surgery, 2002Co-Authors: Abdel Latif Hamdan, Roger V Moukarbel, Firas Farhat, Mounir ObeidAbstract:Summary Vocal cord paralysis is a known entity often described as a complication of neck Surgery. A less frequent site of injury to the recurrent laryngeal nerve is the chest. The left side is usually more affected than the right side in view of its long intrathoracic segment. Only few cases of right vocal cord paralysis following Open-Heart Surgery are reported in the literature. The purpose of this article is to review the common possible mechanisms of injury to the right recurrent laryngeal nerve following Open-Heart Surgery in order to draw the attention of the caring physician to the clinical significance of such a complication. In fact, transient hoarseness following Open-Heart Surgery may be an ominous sign of recurrent laryngeal nerve injury. It should not be assumed to be secondary to intralaryngeal edema. Several mechanisms of injury to the recurrent laryngeal nerve have been suggested: (1) through central venous catheterization; (2) by traction on the esophagus; (3) by direct vocal cord damage or palsy from a traumatic endotracheal intubation; (4) trauma by compression of the recurrent laryngeal nerve or its anterior branch at the tracheoesophageal groove by an inappropriately sized endotracheal tube cuff; (5) by a faulty insertion of a nasogastric tube; (6) median sternotomy and/or sternal traction pulling laterally on both subclavian arteries; (7) direct manipulation and retraction of the Heart during Open-Heart procedures; (8) hypothermic injury with ice/slush. If vocal cord paralysis was overlooked as a possible complication of Open-Heart Surgery, the patient may suffer from dysphonia in addition to problems of paramount importance such as inefficient cough and aspiration. Although it is true that the incidence of vocal cord paralysis remains very low, yet its presence is alarming and necessitates close follow up on the patient for the possible need of surgical intervention if recovery fails. q 2002 Elsevier Science B.V. All rights reserved.
-
vocal cord paralysis after Open Heart Surgery
European Journal of Cardio-Thoracic Surgery, 2002Co-Authors: Abdel Latif Hamdan, Roger V Moukarbel, Firas Farhat, Mounir ObeidAbstract:Vocal cord paralysis is a known entity often described as a complication of neck Surgery. A less frequent site of injury to the recurrent laryngeal nerve is the chest. The left side is usually more affected than the right side in view of its long intrathoracic segment. Only few cases of right vocal cord paralysis following Open-Heart Surgery are reported in the literature. The purpose of this article is to review the common possible mechanisms of injury to the right recurrent laryngeal nerve following Open-Heart Surgery in order to draw the attention of the caring physician to the clinical significance of such a complication. In fact, transient hoarseness following Open-Heart Surgery may be an ominous sign of recurrent laryngeal nerve injury. It should not be assumed to be secondary to intralaryngeal edema. Several mechanisms of injury to the recurrent laryngeal nerve have been suggested: (1) through central venous catheterization; (2) by traction on the esophagus; (3) by direct vocal cord damage or palsy from a traumatic endotracheal intubation; (4) trauma by compression of the recurrent laryngeal nerve or its anterior branch at the tracheoesophageal groove by an inappropriately sized endotracheal tube cuff; (5) by a faulty insertion of a nasogastric tube; (6) median sternotomy and/or sternal traction pulling laterally on both subclavian arteries; (7) direct manipulation and retraction of the Heart during Open-Heart procedures; (8) hypothermic injury with ice/slush. If vocal cord paralysis was overlooked as a possible complication of Open-Heart Surgery, the patient may suffer from dysphonia in addition to problems of paramount importance such as inefficient cough and aspiration. Although it is true that the incidence of vocal cord paralysis remains very low, yet its presence is alarming and necessitates close follow up on the patient for the possible need of surgical intervention if recovery fails.
Roger V Moukarbel - One of the best experts on this subject based on the ideXlab platform.
-
vocal cord paralysis after Open Heart Surgery
European Journal of Cardio-Thoracic Surgery, 2002Co-Authors: Abdel Latif Hamdan, Roger V Moukarbel, Firas Farhat, Mounir ObeidAbstract:Summary Vocal cord paralysis is a known entity often described as a complication of neck Surgery. A less frequent site of injury to the recurrent laryngeal nerve is the chest. The left side is usually more affected than the right side in view of its long intrathoracic segment. Only few cases of right vocal cord paralysis following Open-Heart Surgery are reported in the literature. The purpose of this article is to review the common possible mechanisms of injury to the right recurrent laryngeal nerve following Open-Heart Surgery in order to draw the attention of the caring physician to the clinical significance of such a complication. In fact, transient hoarseness following Open-Heart Surgery may be an ominous sign of recurrent laryngeal nerve injury. It should not be assumed to be secondary to intralaryngeal edema. Several mechanisms of injury to the recurrent laryngeal nerve have been suggested: (1) through central venous catheterization; (2) by traction on the esophagus; (3) by direct vocal cord damage or palsy from a traumatic endotracheal intubation; (4) trauma by compression of the recurrent laryngeal nerve or its anterior branch at the tracheoesophageal groove by an inappropriately sized endotracheal tube cuff; (5) by a faulty insertion of a nasogastric tube; (6) median sternotomy and/or sternal traction pulling laterally on both subclavian arteries; (7) direct manipulation and retraction of the Heart during Open-Heart procedures; (8) hypothermic injury with ice/slush. If vocal cord paralysis was overlooked as a possible complication of Open-Heart Surgery, the patient may suffer from dysphonia in addition to problems of paramount importance such as inefficient cough and aspiration. Although it is true that the incidence of vocal cord paralysis remains very low, yet its presence is alarming and necessitates close follow up on the patient for the possible need of surgical intervention if recovery fails. q 2002 Elsevier Science B.V. All rights reserved.
-
vocal cord paralysis after Open Heart Surgery
European Journal of Cardio-Thoracic Surgery, 2002Co-Authors: Abdel Latif Hamdan, Roger V Moukarbel, Firas Farhat, Mounir ObeidAbstract:Vocal cord paralysis is a known entity often described as a complication of neck Surgery. A less frequent site of injury to the recurrent laryngeal nerve is the chest. The left side is usually more affected than the right side in view of its long intrathoracic segment. Only few cases of right vocal cord paralysis following Open-Heart Surgery are reported in the literature. The purpose of this article is to review the common possible mechanisms of injury to the right recurrent laryngeal nerve following Open-Heart Surgery in order to draw the attention of the caring physician to the clinical significance of such a complication. In fact, transient hoarseness following Open-Heart Surgery may be an ominous sign of recurrent laryngeal nerve injury. It should not be assumed to be secondary to intralaryngeal edema. Several mechanisms of injury to the recurrent laryngeal nerve have been suggested: (1) through central venous catheterization; (2) by traction on the esophagus; (3) by direct vocal cord damage or palsy from a traumatic endotracheal intubation; (4) trauma by compression of the recurrent laryngeal nerve or its anterior branch at the tracheoesophageal groove by an inappropriately sized endotracheal tube cuff; (5) by a faulty insertion of a nasogastric tube; (6) median sternotomy and/or sternal traction pulling laterally on both subclavian arteries; (7) direct manipulation and retraction of the Heart during Open-Heart procedures; (8) hypothermic injury with ice/slush. If vocal cord paralysis was overlooked as a possible complication of Open-Heart Surgery, the patient may suffer from dysphonia in addition to problems of paramount importance such as inefficient cough and aspiration. Although it is true that the incidence of vocal cord paralysis remains very low, yet its presence is alarming and necessitates close follow up on the patient for the possible need of surgical intervention if recovery fails.
Yuji Miyamoto - One of the best experts on this subject based on the ideXlab platform.
-
Risk factors for Open Heart Surgery in hemodialysis patients.
General Thoracic and Cardiovascular Surgery, 2009Co-Authors: Mitsuhiro Yamamura, Masataka Mitsuno, Hiroe Tanaka, Yasuhiko Kobayashi, Masaaki Ryomoto, Hiroyuki Nishi, Shinya Fukui, Noriko Tsujiya, Tetsuya Kajiyama, Yuji MiyamotoAbstract:Purpose There have been many reports on Open Heart Surgery in hemodialysis patients; however, the mortality rates in these patients are higher than those in nonhemodialysis patients. The purpose of this study was to identify the risk factors for mortality following Open Heart Surgery in hemodialysis patients.
-
Risk factors for Open Heart Surgery in hemodialysis patients
General Thoracic and Cardiovascular Surgery, 2009Co-Authors: Mitsuhiro Yamamura, Masataka Mitsuno, Hiroe Tanaka, Yasuhiko Kobayashi, Masaaki Ryomoto, Hiroyuki Nishi, Shinya Fukui, Noriko Tsujiya, Tetsuya Kajiyama, Yuji MiyamotoAbstract:Purpose There have been many reports on Open Heart Surgery in hemodialysis patients; however, the mortality rates in these patients are higher than those in nonhemodialysis patients. The purpose of this study was to identify the risk factors for mortality following Open Heart Surgery in hemodialysis patients. Methods We evaluated 76 consecutive patients (76/2030 total Open Heart surgeries, 3.7%) who required hemodialysis before Open Heart Surgery between January 1990 and January 2008. There were 46 men and 30 women (mean age 63 ± 11 years). The mean duration of hemodialysis was 9 years 5 months (8 months to 30 years). Chronic glomerulonephritis (25 cases, 33%) and diabetic nephropathy (17 cases, 22%) were the most common diseases leading to a requirement for hemodialysis. Operations included 36 coronary artery bypass grafting (CABG) cases (48%; emergency/elective 22: 14), 24 aortic valve replacements (AVR) (34%), and 9 cases of concomitant AVR plus CABG (12%). Multivariate logistic analyses were performed to identify the risk factors. No patient was lost during follow-up. Results The overall in-hospital mortality rate was 17.1% (13/76). The 5-year survival rate was 39% ± 8%. Univariate logistic analysis showed that age (>70 years), low-output syndrome (ejection fraction
